 |
|
Pediatric specialists often far from home
December 04, 2006CHAPEL HILL - Taking your child to a pediatric subspecialist may mean a big-time travel commitment, researchers at the University of North Carolina at Chapel Hill's School of Public Health have found.
Although about half the children in the United States live within 10 miles of most pediatric specialists, almost one in three must travel 40 miles or more to receive subspecialty care from certain physicians. The lack of available subspecialists, who are trained to treat specific ailments in children, could mean some patients are not getting sufficient care, the researchers said.
"The results suggest that the supply of pediatric subspecialists is inadequate in some locales, and the number of subspecialists is not distributed equitably," said Dr. Michelle Mayer, research assistant professor in the school's department of health policy and administration. "While we don't know to what extent these distances are barriers to subspecialty care, we think they may be problematic for low-income families with limited access to transportation or work-leave benefits."
Mayer found that the distances parents must travel to receive pediatric subspecialty care for their children range from 15 miles for neonatology (infant care) to 78 miles for pediatric sports medicine.
The results of the study, which was funded by the Agency for Healthcare Research and Quality, appear in the December 2006 issue of Pediatrics.
Mayer cited the low number of pediatric endocrinologists (those who study glands and hormones in children) as one worrisome example of the trend's implications in light of a national childhood obesity epidemic and related increases in Type II diabetes. She said pediatric subspecialties are among the smallest medical specialties in the United States.
Researchers combined data from the American Board of Pediatrics with a national ZIP code database to calculate straight-line distances between each ZIP code and the nearest board-certified subspecialist. They used those sources to estimate the percentage of hospital referral regions with providers and calculate physician-to-population ratios for each of the 16 pediatric medical subspecialties included in the analyses.
University of North Carolina at Chapel Hill
Mayer found that the distances parents must travel to receive pediatric subspecialty care for their children range from 15 miles for neonatology (infant care) to 78 miles for pediatric sports medicine.
The results of the study, which was funded by the Agency for Healthcare Research and Quality, appear in the December 2006 issue of Pediatrics.
Mayer cited the low number of pediatric endocrinologists (those who study glands and hormones in children) as one worrisome example of the trend's implications in light of a national childhood obesity epidemic and related increases in Type II diabetes. She said pediatric subspecialties are among the smallest medical specialties in the United States.
Researchers combined data from the American Board of Pediatrics with a national ZIP code database to calculate straight-line distances between each ZIP code and the nearest board-certified subspecialist. They used those sources to estimate the percentage of hospital referral regions with providers and calculate physician-to-population ratios for each of the 16 pediatric medical subspecialties included in the analyses.
University of North Carolina at Chapel Hill
Pediatric Current Events and Pediatric News RSSAmid the flu epidemic, don't forget RSV in young children
Influenza, particularly H1N1, has understandably captured the attention of public health officials, the media and the public.
Exposures to metals and diesel emissions in air linked to respiratory symptoms in children
Exposure shortly after birth to ambient metals from residential heating oil combustion and particles from diesel emissions are associated with respiratory symptoms in young inner city children.
High Blood Pressure Easy to Miss in Children with Kidney Disease
Spot blood pressure readings in children with chronic kidney disease often fail to detect hypertension - even during doctor's office visits - increasing a child's risk for serious heart problems, according to research from Johns Hopkins Children's Center and other institutions. A report of the findings appears online in the Journal of American Society of Nephrology.
Asthma a significant risk factor for complications in children with H1N1
A new study on pediatric H1N1 influenza admissions has found that asthma is a significant risk factor for severe disease in children with pandemic H1N1 compared with the seasonal flu.
Mother's Depression a Risk Factor in Childhood Asthma Symptoms, Study Suggests
Asthma symptoms can worsen in children with depressed mothers, according to research from Johns Hopkins Children's Center published online in the Journal of Pediatric Psychology.
Drug for erectile dysfunction improves heart function in young heart-disease patients
Heart function significantly improved in children and young adults with single-ventricle congenital heart disease who have had the Fontan operation following treatment with sildenafil, a drug used to treat erectile dysfunction and pulmonary hypertension, say researchers from The Children's Hospital of Philadelphia.
Research calls for better assessment of tests for tuberculosis, HIV/AIDS and malaria
A rapid and accurate diagnosis is the first step towards treatment in the fight against infectious disease.
Largest gene study of childhood IBD identifies 5 new genes
In the largest, most comprehensive genetic analysis of childhood-onset inflammatory bowel disease (IBD), an international research team has identified five new gene regions, including one involved in a biological pathway that helps drive the painful inflammation of the digestive tract that characterizes the disease.
Faulty body clock may make kids bipolar
Malfunctioning circadian clock genes may be responsible for bipolar disorder in children. Researchers writing in the open access journal BMC Psychiatry found four versions of the regulatory gene RORB that were associated with pediatric bipolar disorder.
Iowa State engineers develop 3-D software to give doctors, students a view inside the body
James Oliver picked up an Xbox game controller, looked up to a video screen and used the device's buttons and joystick to fly through a patient's chest cavity for an up-close look at the bottom of the heart.
More Pediatric Current Events and Pediatric News Articles
 |
Pediatrics Pocketcard Set by John Harrington (Author) The Pediatrics pocketcard Set summarizes information critical to the general pediatrics practice. The cards contain vital information on a variety of topics including developmental assessment, pediatric lab values and vital signs reference ranges, important physiological formulas, nutrition, fluid and electrolyte management, immunization, infectious diseases, and common emergency drugs and doses. Specific topics include: **APGAR score, developmental milestones, primitive reflexes |
 |
CURRENT Diagnosis and Treatment Pediatrics, Nineteenth Edition (LANGE CURRENT Series) by William Hay (Author), Myron Levin (Author), Robin Deterding (Author), Judith Sondheimer (Author) The Classic On-the-Go Guide to Pediatric Practice--Now More Current and Essential Than Ever! A Doody's Core Title! CURRENT Diagnosis and Treatment: Pediatrics has long been the go-to guide for students, residents, and practitioners looking for concise, reliable, and up-to-date information. It continues to provide succinct, up-to-date, and clinically relevant coverage of how to assess and treat common disorders in children, from eating disorders and cardiovascular diseases to STDs. Features: Easy-to-follow LANGE CURRENT outline format: Problem, Essentials of Diagnosis and Typical Features, Clinical Findings, Differential Diagnosis, Treatment, Prognosis Organized by general topics such as care of the newborn and community pediatrics, as well as... |
 |
Atlas of Pediatric Physical Diagnosis: Text with Online Access (Zitelli, Atlas of Pediatric Physical Diagnosis) by Basil J. Zitelli MD (Author), Holly W. Davis MD (Author) Your best source for guidance on the visual diagnosis of pediatric disorders now comes to you in print and online! More than 3,400 hundred illustrations-3,000 in full color-capture the full range of gross anatomic signs as well as laboratory and radiologic findings for hundreds of pediatric disorders. Addresses the entire spectrum of pediatric conditions-from pertinent historical factors and examination techniques to visual and diagnostic methods-providing you with comprehensive coverage for your toughest diagnostic challenges. Features more than 3,400 practical, clinical photographs to help you identify and diagnose hundreds of pediatric disorders. Features new, comprehensive coverage of malnutrition, obesity, and trauma to help you identify a wide range of... |
 |
The 5-Minute Pediatric Consult (The 5-Minute Consult Series) by M. William Schwartz (Editor), Louis M Bell (Editor), Peter M Bingham (Editor), Esther K Chung (Editor), David F Friedman (Editor) The thoroughly updated Fifth Edition of this best-selling reference provides immediate, practical advice on problems seen in infants, children, and adolescents. More than 460 chief complaints and diseases are covered in the fast-access two-page outline format that makes The 5-Minute Consult Series titles so popular among busy clinicians. Other features include a medication index, syndromes glossary, surgical glossary, laboratory values, and tables. The Fifth Edition has new emergency department material including ingestion of caustics, opioids, and "ecstasy-type" drugs. New material on childhood obesity, metabolic syndrome, and probiotics is also included. A brand-new companion Website offers the fully searchable online text, plus selected full-color clinical photographs from... |
 |
Blueprints Pediatrics (Blueprints Series) by Bradley S Marino (Editor), Katie S Fine (Editor) One of the best selling and most highly regarded volumes in the Blueprints series, Blueprints Pediatrics provides students with a concise review of what they need to know in their pediatrics rotation or the Boards. Each chapter is brief and includes pedagogical features such as bolded key words, tables, figures, and key points. A question and answer section at the end of the book presents 100 board-format questions with complete rationales. This edition includes full-color dermatology and infectious disease photographs and multicolored flow diagrams of congenital heart defects. A companion Website includes a question bank and fully searchable text. |
 |
Pediatric Primary Care (Burns, Pediatric Primary Care) by Catherine E. Burns PhD RN CPNP FAAN (Author), Ardys M. Dunn PhD RN PNP (Author), Margaret A. Brady PhD RN CPNP (Author), Nancy Barber Starr MS RN CPNP (Author), Catherine G. Blosser MPA:HA RN APRN BC (PNP) (Author) This fourth edition of Pediatric Primary Care is prepared to assist the pediatric healthcare provider to understand the wide spectrum of conditions seen in primary care of children. Written by experienced authors familiar with the scope of practice and knowledge base of pediatric nurse practitioners, it emphasizes prevention as well as management, and presents guidelines on assessing children from infancy through adolescence. The text is appropriate for nurse practitioner, medical, and physician assistant students as well as experienced clinicians who want a current pediatric primary care resource with easy access to information. Management chapters include numerous tables to facilitate differential diagnoses and summarize management strategies.Resource boxes inform readers of... |
 |
ADSCOPE Animal Scope, Pediatric-22", Seafoam by ADC Adscope Animal scope, seafoam with 6 playful faces |
 |
The Philadelphia Guide: Inpatient Pediatrics by Gary Frank (Author), Lisa Zaoutis (Author), Marina Catallozzi (Author), Lisa B. Zaoutis (Author), Samir S. Shah (Author) The Philadelphia Guide: Inpatient Pediatrics combines the advice of over one hundred pediatricians and specialists to bring you the latest guidelines, procedures, treatments, and management strategies for inpatient pediatric care. Highly accessible and easy to use on the wards, this book is arranged alphabetically by clinical area, and organized in a consistent format with uniform headings throughout - perfect for whenever you need information fast. Conveniently sized to fit in your white coat pocket, this irreplaceable inpatient resource features: Concise coverage of over 350 commonly encountered pediatric medical conditions Practical diagnostic strategies and complete treatment and management guidelines Rapid access to tables listing pediatric dosages for... |
 |
Nelson Textbook of Pediatrics e-dition: Text with Continually Updated Online Reference (Nelson Textbook of Pediatrics (Bherman)) by Robert M. Kliegman MD (Author), Richard E. Behrman MD (Author), Hal B. Jenson MD (Author), Bonita M.D. Stanton MD (Author) Provides up-to-the minute coverage at www.nelsonpediatrics.com-updated multiple times a week-more frequently than any other source on the market! Features the editorial contributions of a new editor-Dr. Bonita F. Stanton-for enhanced focus on general pediatrics. Presents new knowledge on the principles of antibiotic therapy . antiviral therapy . antiparasitic therapy . antimycobacterial therapy . and others to improve your therapeutic skills. Recommends which drugs and dosages to prescribe for every disease for full coverage of the principles of therapy. Offers convenient reference through a new full-color design and full-color photographs that enable you to locate key content more easily and identify clinical conditions more quickly. Features weekly updates at... |
 |
AAP Textbook of Pediatric Care (McInerny, Textbook of Pediatric Care) (American Academy of Pediatrics) by Thomas K. McInerny (Editor), Henry M. Adam (Editor), Deborah E. Campbell (Editor), Deepak M. Kamat (Editor), Kelly J. Kelleher (Editor) The American Academy of Pediatrics (AAP), the professional home of over 65,000 pediatricians, is pleased to announce the forthcoming publication of AAP Textbook of Pediatric Care, a comprehensive and innovative pediatric textbook. This new full color AAP edition will be the one-stop resource for primary care of children and adolescents. Coverage includes prevention, screening, consultation, legal and environmental issues, as well as the pathophysiology and treatment of disease. An outstanding reference for day-to-day practice, this very readable text will provide answers including quick reference lists of resources needed to implement the recommendations for disease treatment and management. A companion manual, Tools for Practice will provide the most frequently used forms,... |
| © 2009 BrightSurf.com |